| NPI | 1285473249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA MALOFEEVA Clincial Director 520-873-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |